Quayhagen M P, Quayhagen M, Corbeil R R, Roth P A, Rodgers J A
School of Nursing, University of San Diego, CA, USA.
Nurs Res. 1995 May-Jun;44(3):153-9.
A cognitive remediation intervention was tested for its effect on functional outcomes of older care recipients with the diagnosis of dementia of the Alzheimer's type. The 78 community-dwelling care recipients were assessed on cognitive and behavioral functioning and randomly assigned to one of three conditions. Care recipients were expected to benefit most from active cognitive stimulation training as compared to placebo (passive) activity or wait-list control conditions. Following each weekly instruction session, the intervention was executed in the home by the family caregiver. Care recipients in the experimental group improved in cognitive and behavioral performance with treatment, but returned to former level of functioning by the 9th month. In contrast, the control group declined, while the placebo group remained static on these variables. These findings support the viability of remediation interventions in dementia despite the trajectory of cognitive decline.
一项认知康复干预措施针对被诊断为阿尔茨海默病型痴呆的老年护理对象的功能结局进行了效果测试。78名居住在社区的护理对象接受了认知和行为功能评估，并被随机分配到三种情况之一。与安慰剂（被动）活动或等待名单对照情况相比，护理对象预计能从积极的认知刺激训练中获益最多。在每周一次的指导课程结束后，干预由家庭护理人员在家庭中实施。实验组的护理对象在接受治疗后认知和行为表现有所改善，但到第9个月时恢复到以前的功能水平。相比之下，对照组出现下降，而安慰剂组在这些变量上保持稳定。这些发现支持了痴呆症康复干预措施的可行性，尽管存在认知衰退的轨迹。
